La depresión, más frecuente en la mujer, es un problema mundial, cuyas probabilidades de padecerla aumentan durante el puerperio. Las cifras de incidencia de depresión en el posparto son variables pero, en algunas comunidades latinoamericanas, se han informado valores superiores al 20%. Se ha reportado incremento de la incidencia durante la adolescencia. En Colombia no se conocen cifras en madres de esta edad.Objetivos: establecer la incidencia de depresión posparto en adolescentes de Bucaramanga y compararla con la presentada en mujeres mayores.Métodos: estudio de cohorte (mayo/2003 – abril/2004) con 286 mujeres puérperas provenientes de once centros asistenciales de Bucaramanga y seguidas seis semanas. Se recogió información sobre aspectos sociodemográficos, variables obstétricas, antecedentes psiquiátricos, datos del recién nacido y lactancia. El diagnóstico de depresión posparto fue establecido por un psiquiatra de acuerdo con criterios de DSM IV. Se midieron tasas de incidencia por grupos de edad, se calcularon razones de tasas y se ajustó el riesgo de padecerla por regresión de Cox.Resultados: la tasa de incidencia de depresión pospartoen adolescentes fue de 0,6 casos/1.000 días – persona (IC 95% 0,07–2,2); en mujeres de 21 a 34 años fue de 1,0 caso/1.000 días – persona (IC 95% 0,3–2,0); y de 1,9 casos/1.000 días – persona (IC95% 0,3–5,4) en mujeres mayores. Cuando se hizo ajuste, el hazard ratio fue de 3,0 (IC95% 0,3–29,9) para las mujeres de 21 a 34 años y de 7,4 (IC 95% 0,6–95,6) para las madres mayores de 34 comparándolas con adolescentes.Conclusiones: la depresión posparto constituye un problema de salud frecuente en Bucaramanga. Las madres adolescentes no presentan un riesgo mayor que el de otras mujeres.
Background: Intimate partner violence (IPV) against women is a common form of interpersonal violence in both developed and developing countries, and represents a forensic and public health problem. IPV is related to Post-traumatic Stress Disorder (PTSD). This relationship however, has not been investigated in Colombian population. Objective: To determine the strength of the association between IPV and PTSD in women referred for forensic psychiatric evaluation in Bucaramanga, Colombia. Method: A case-control study was designed. A total of 132 cases involving women referred for forensic psychiatric evaluation met criteria for PSTD according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). A group of 262 women without PTSD were taken as controls. First, odds ratio (OR) was computed. Logistic regression was used to control confounding variables. Results: A total of 76 (56.6%) in the case group reported IPV during the past year compared to 85 (32.6%) in the control group. IPV and PTSD were associated (OR=3.09, 95%CI: 1.58-6.03) after controlling for age, employment, medico-legal loss or injury, and current aggressor (partner). Conclusions: IPV increased the risk for PTSD three-fold among women attending forensic assessment in Bucaramanga, Colombia.
Postnatal depression is little recognized during the puerperium. It is a major public health problem in Bucaramanga, where an appropriate prenatal monitoring program could reduce it. A follow-up program for mother and child would help its early diagnosis and management.
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